BlueCHiP for Medicare Core (HMO) in Kent County, Rhode Island — 2026 plan details
Last updated Jul 18, 2026
Reviewed by Jason Burns, Editorial Steward
Published by Senior Direct Answers · Licensed under Citation License 1.0
BlueCHiP for Medicare Core (HMO) (H4152-004) is a $0-premium Medicare Advantage HMO from Blue Cross & Blue Shield of Rhode Island available in Kent County, Rhode Island in 2026, with a 4.0-star overall rating, a $5,000 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Blue Cross & Blue Shield of Rhode Island |
|---|---|
| Plan name | BlueCHiP for Medicare Core (HMO) |
| Contract ID | H4152 |
| Plan ID | 004 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA |
| Plan type | HMO |
| SNP | No |
| Monthly consolidated premium | — |
| Part C premium | $0.00 |
| Part D basic premium | — |
| Part D total premium | — |
| Annual Part D deductible | — |
| Maximum out-of-pocket (in-network) | $5000.00 |
| Overall star rating | 4.0 |
How this plan is structured
- $0 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- HMO plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
- $5,000 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Kent County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Kent County
The CMS CY2026 Landscape file lists 23 Medicare Advantage plans in Kent County, Rhode Island, of which 0 carry a 5.0-star overall rating and 11 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $143.00 per month, and in-network out-of-pocket maximums range from $4500.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Kent County, Rhode Island.
How to verify your doctors take this plan
Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H4152-004.
- Call the plan (Blue Cross & Blue Shield of Rhode Island) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H4152-004 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H4152-004, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 4152 are the contract number issued to the organization, and the three-digit 004 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is BlueCHiP for Medicare Core (HMO) an HMO or PPO?
BlueCHiP for Medicare Core (HMO) is an HMO — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.
Does BlueCHiP for Medicare Core (HMO) include prescription drug coverage?
BlueCHiP for Medicare Core (HMO) does not include Part D prescription drug coverage in its consolidated benefits.
What is the maximum out-of-pocket cost for BlueCHiP for Medicare Core (HMO)?
The 2026 in-network maximum out-of-pocket limit for BlueCHiP for Medicare Core (HMO) is $5000.00, per the CMS CY2026 Landscape file.
What counties offer BlueCHiP for Medicare Core (HMO) (H4152-004)?
BlueCHiP for Medicare Core (HMO) (H4152-004) is offered in five Rhode Island counties: Bristol County, Kent County, Newport County, Providence County, and Washington County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.